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Product details
File Size: 954 KB
Print Length: 69 pages
Publisher: Purposely Created Publishing Group; 1 edition (February 13, 2019)
Publication Date: February 13, 2019
Sold by: Amazon Digital Services LLC
Language: English
ASIN: B07NLL9WD6
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I really wanted to like and recommend this book. However, the treatment of the subject is too cursory, and leads the potential reader into dangerous waters if she were to follow the recommendations in the book when it comes to coding and billing. The information in this book is simply incomplete.I've read the first 7 chapters, and here are my thoughts:1. In Medical Decision Making (MDM), it's not the number of potential differential diagnoses that count. It's the actual number of problems you are managing that matter. There is also a difference between a NEW problem vs. an ESTABLISHED problem in determining the complexity of the MDM that was not mentioned in the book.2. When it comes to coding for Established Patient encounters, only 2 out of the 3 Key Components are needed. Often, a physical exam is not needed at all.(Chapter 6) "...we can document to the level of 99214. This code is for an established patient in the office... Only a detailed history and a detailed examination must accompany the medical decision making of moderate complexity."You only need 2 of the 3 Key Components, and not all 3 are needed, to reach "moderate complexity".3. Completely ignoring the 1995 physical exam guidelines (Chapter 3) which makes it much easier to satisfy the maximum E&M level using Body Areas may be an oversight? I am not sure. The author may want to include that in the next edition.4. In Chapter 5, the nuance of a patient who has not been seen in over 3 years but now returns for management of an established problem was not addressed. Although it's a New Patient E&M / CPT, the problem being addressed is Established, and Medical Decision Making should be treated as such. However, no such distinction between New vs. Established problem was made in Chapter 1, so this discussion could not even take place in Chapter 5.5. In Chapter 7, Time-Based Coding. The times listed in CPT are AVERAGES and not thresholds. It's nuanced, and this should be clearly stated and not mistakenly documented in Chapter 7.*Averages*. Not thresholds.6. In Chapter 8, only a few modifiers are mentioned. Modifier -22 is also an important to include and discuss, among others,I will glance through the rest of the book and comment further.
Okay, I have been intimidated by medical coding, however, Dr. Charlotte is helping me get over my fear. She is so knowledgeable. I love that she's a physician because she understands what we go through and whats important. This will definitely be useful as i grow my practice.
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